| NPI | 1356495568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA AP30005001) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA AP30005001) |
| 163W00000X Registered Nurse (Licence: WA RN00059138) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-01-18 |